NPI 1750874723 · live from the CMS NPI Registry
Andres Rodolfo Brenes Bastos, MD
Anesthesiology in New Haven, CT. National Provider Identifier 1750874723, active.
NPI record
| NPI | 1750874723 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 20 York Street, Department Of Anesthesiology, New Haven, CT 06510 |
| Practice phone | 203-785-2802 |
| Enumerated | June 13, 2018 |
| Last updated | January 15, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurocritical Care | 2084A2900X | 66750 (CT) |
| Anesthesiology primary | 207L00000X | 66750 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.